ABR Al Be MODIS 28540 La Loupe FRANCE AMERICAN BULLY REGISTER’ ) LITTER REGISTRATION (7 AMERICAN BULLY REGISTER ~ ABR [Z] ABI |-EU(GHOTMAIL.COM LITTER INFORMATION BREED DATE OF THE BREEDING LITTER TOBE REGISTERED: = __ MALES LITTER DATE OF BIRTH FEMALES TOTAL PUPPIES SIRE INFORMATION (AS SHOW ON PEDIGREE): ABR N 1 (WE) CERTIFY & CONFIRM THAT THE IDENTIFIED AND THAT THE SIRE WAS OWNED / Co -OWNED BY ME (US) Dam WAS TO THE IDENTIFIED SIRE ON THE DATE OF THE BREEDING ‘OWNER FULL NAME PHONE CONTACT X OWNER SIGNATURE OF SIRE DATE SIGNED CO-OWNER FULL NAME (IF ANY) PHONE CONTACT CO OWNER X CO-OWNER SIGNATURE OF SIRE (IF ANY) DATE SIGNED DAM INFORMATION (AS SHOW ON PEDIGREE): ABR NT OWNER FULL NAME 1 (WE) CERTIFY THAT 1 (WE) AM (ARE) THE OWN! BIRTH OF THE LITTER, THAT THIS DAM WAS NOT MATED TO ANY OTHER DOG DURING HER SEASON ‘THAT ALL OF THE REPRESENTATION ON THIS COMPLY WITH THE ABR BREEDING POLICIES AND REGULATIONS. (ERS OF THE ‘APPLICATION ARE PHONE IDENTIFIED DAM ON THE DATE OF TRUE,AND | (WE) AGREE TO CONTACT X OWNER SIGNATURE OF DAM CO-OWNER FULL NAME (IF ANY) DATE SIGNED PHONE CONTACT CO OWNER. X CO-OWNER SIGNATURE OF DAM (IF ANY) DATE SIGNED POSTAL INFORMATION [ABR WILL SEND THE LITTER PACK ( ONE REGISTRATION APPLICATION FOR EACH PUPPY ) TO THE ADDRESS BELOW FIRST NAME ( PRENOM ) LAST NAME ( Nom DE FAMILLE ) COUNTRY ‘STREET ADDRESS EMAIL ADDRESS CITY / TOWN REGION ‘SEND PAYPAL PAYMENT TO |" ABR-EU@HOTMAILCOM ‘TME FEE FOR ABR LITTER REGISTRATION PER LITTER IS 25 € posTAGE McivOED ) PAYPAL PAYMENTS ARE ACCEPTED POSTAL CODE: Tovay's DATE: __/-